Did You Know?

If you are in debt and unable to make your monthly payments we can work with you and the lender to come to an arrangement unique to you.

Use this form to provide us with the information necessary to come up with a solution that meets both you and the lenders needs.

Contact Info
Anderson Sinclair LLP2170 Torquay Mews
Mississauga, ON L5N 2M6


Head Office:
Toll Free: 1-800-308-5668
Fax: 1-905-821-8948
Email: info@andsinc.com

Consumer Real Estate Group
(Purchase, Sale, Refi):
Phone: 1-800-308-5668
Fax: 1-905-821-8948
Email: realestate@andsinc.com

Recoveries/Default Group:
Phone: 1-800-694-1538
Fax: 1-866-461-0992
Email: recoveries@andsinc.com
Make an Offer

In order to assure that your settlement offer or payment plan proposal is properly received and accurately applied to your account you must fully complete the Contact Information of this form, as well as the Settlement Offer section. Your email address and phone numbers are critical to follow-up should we need additional information from you. Some of our clients do not allow for electronic communication and thus we will only contact you by telephone so please ensure you provide your phone numbers where you can be reached. This firm is a debt collector. This is an attempt to collect a debt and all information obtained will be used for that purpose.

Contact Information:


Name:

Street Address:

Street Address (cont):

City:

Province:

Postal Code:

Main Work Phone:

Mobile Phone:

Email:

Preferred Contact:

Your File Number with our Office:

Name of the creditor you owe:

Settlement Offer

Settlement Type
Lump Sum Payment Plan  
This is an amount that you would like to offer our client as payment in full on your account. This offer is not yet accepted by our client. Please do not make payment until we advise that it has been accepted. If accepted, the amount will need to paid in full to ou office in one installment. We will advise you of the deadline for payment. If payment is not received in our office by that time, the full balance will become due less any partial payment.

Amount you are offering as lump settlement:

Date by which you will pay the amount entered:

This is a proposal for payments over time at an agreed amount per payment. Your proposal is not binding on our client or our office unless it has been accepted, and you keep the proposal by making all payments in a timely fashion. We will advise you if your payment plan proposal has been accepted, and when your payments are due.

Amount you are offering as payment:

Date Payments will commence:

Frequency of payments:
(Monthly, Bi-Weekly, Weekly)
Additional Information or Comments:

Authorization: I understand that this offer of settlement or proposal for a payment plan is not effective until Anderson Sinclair LLP communicates acceptance of my offer or proposal. I declare that the information on this page and the proceeding pages is accurate and truthful. In addition, I understand that if my offer or proposal is accepted, that all payments must be made in the agreed amount, and must be received by Anderson Sinclair LLP by their due date, or Anderson Sinclair LLP, at its option, can declare the settlement offer or payment proposal withdrawn. I also understand that if any of the information submitted on this page is found to be false that Anderson Sinclair LLP, at its option, can declare the settlement offer or payment proposal void and withdrawn. In that event, the full remaining balance will be due, and any payment made on the account thereafter will be applied against the full balance. Anderson Sinclair LLP may contact me by email or mobile phone regarding this matter.

I understand and agree to all of the terms listed above.

Submit Offer Reset